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96TH MEDGRP-EGLIN
NPI 1083012223
Military/U.S. Coast Guard Pharmacy in Eglin Afb, FL

Active since December 19, 2014
4315 EL SALVADOR WAY, BUILDING 4315, EGLIN AFB, FL 32542(850) 885-7554(850) 885-9977 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 96th Medgrp-eglin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

96TH MEDGRP-EGLIN (NPI 1083012223), doing business as Eglin 7th Sfg Phcy, is a healthcare organization registered as a military/u.s. coast guard pharmacy in Eglin Afb, Florida and active in the NPI registry since December 2014. The organization lists Hector Morales, Chief Dha Pass, as its authorized official.

NPPES Registry Identity

NPI1083012223
Entity TypeOrganization
Primary Taxonomy332000000X
Legal Business Name96TH MEDGRP-EGLIN
Location Address4315 EL SALVADOR WAY, BUILDING 4315Eglin Afb, FL 32542-1711
Mailing Address307 Boatner Rd Ste 114Eglin Afb, FL 32542-1302 · (850) 885-7554 · Fax (850) 885-9977
Phone(850) 885-7554
Fax(850) 885-9977
Organization SubpartYes
Authorized OfficialHector MoralesChief Dha Pass · (210) 536-6650
Enumeration DateDecember 19, 2014
Last NPPES UpdateJune 11, 2025
NPPES CertifiedJune 11, 2025
✔ NPI 1083012223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary/U.S. Coast Guard PharmacySuppliers
Taxonomy Code332000000X
Definition
A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
4315 EL SALVADOR WAY, Eglin Afb, FL 32542
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Other Names 1

Doing Business AsEglin 7th Sfg Phcy

Other Identifiers 1

Other2149365Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RYAN BRADLEY PA-C, CAQ-PSY
Physician Assistant (Medical)
4315 EL SALVADOR WAY
EGLIN, FL 32542
Okaloosa County (575) 386-6585
MARY CASON PARHAM
Dental Hygienist
4315 EL SALVADOR WAY
EGLIN AFB, FL 32542
Okaloosa County (850) 885-7565
NGOC KELSCH DENTAL HYGIENIST
Dental Hygienist
4315 EL SALVADOR WAY
EGLIN AFB, FL 32542
Okaloosa County (850) 885-7563
STEPHANIE A WALLGREN PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4315 EL SALVADOR WAY, 7TH SFG TMDC
EGLIN AFB, FL 32542
Okaloosa County (850) 885-7555
DR. JOHN CHRISTEN BUNYASARANAND DO
Emergency Medicine
4315 EL SALVADOR WAY
EGLIN AFB, FL 32542
Okaloosa County (850) 885-9979

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 96th Medgrp-Eglin's NPI number?

The NPI number for 96th Medgrp-Eglin is 1083012223. It was assigned to this organization in the NPPES registry on December 19, 2014. The provider is doing business as EGLIN 7th SFG PHCY.

Where is 96th Medgrp-Eglin located?

96th Medgrp-Eglin is located at 4315 El Salvador Way Building 4315, Eglin Afb, FL 32542. The listed phone number is (850) 885-7554.

What is 96th Medgrp-Eglin's specialty?

The primary specialty registered for this NPI is Military/U.S. Coast Guard Pharmacy with taxonomy code 332000000X.

What insurance does 96th Medgrp-Eglin accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 27 other insurers list 96th Medgrp-Eglin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 96th Medgrp-Eglin was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.